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D
Poor

Compass Healthcare and Rehab Rowan, LLC

1404 S Salisbury Avenue · Spencer, NC 28159

7046333892 · For profit - Individual

70 beds63.2 residents84 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Compass Healthcare and Rehab Rowan, LLC receives an overall staffing grade of D (Poor). With 3.083 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.393 HPRD, below the recommended 0.75. It is 0.81 HPRD below the national average.

Weekend staffing drops significantly — dropping 28.22% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.083 HPRD — needs 0.40 more hours per resident per day.
⚠️RN staffing (0.393 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 28.22% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.083hrs/resident/day▼ 0.81
CMS benchmark: 3.48
RN HPRD
0.393hrs/resident/day▼ 0.29
Recommended: 0.75
Weekend Drop-off
28.22%
3.3502 weekday → 2.4047 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7066hrs/resident/day
Direct care aides
LPN HPRD
0.8357hrs/resident/day
Licensed practical nurses
Consistency
0.5047std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Rowan County Average-0.80 HPRD
3.88
03.08 HPRD
vs. North Carolina State Average-0.68 HPRD
3.77
03.08 HPRD
vs. National Average-0.81 HPRD
3.90
03.08 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Compass Healthcare and Rehab Rowan, LLC ★
Spencer · This facility
—
D
3.0830.393★☆☆☆☆
Autumn Care of Salisbury
Salisbury
1.3 mi
C
3.2610.514★★★☆☆
Piedmont Health & Rehab Center
Salisbury
1.9 mi
C
3.81640.4399★★★☆☆
Salisbury Rehabilitation and Nursing Center
Salisbury
2.7 mi
C
3.29650.4388★☆☆☆☆
Trinity Oaks
Salisbury
3.3 mi
A
4.75920.7698★★★★☆
Davidson Health & Rehab Center
Lexington
9.8 mi
D
3.54150.3641★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
9
Total Deficiencies
$10,039
Fines Assessed
Dec 10, 2025Health
2 deficiencies cited
▼
Aug 21, 2024Health
3 deficiencies cited· Includes actual harm
▼
Oct 11, 2023Health
4 deficiencies cited
▼

Penalty History

Aug 21, 2024Fine
$10,039
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.